Individual
DR. BRADFORD VICTOR ENEIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2359 MURPHY WOODS ROAD, BELOIT, WI 53511
(608) 362-9391
(608) 362-8020
Mailing address
2359 MURPHY WOODS ROAD, BELOIT, WI 53511
(608) 362-9391
(608) 362-8020
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2172015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33418700
—
WI
Enumeration date
08/12/2006
Last updated
07/08/2007
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